Hospital Costs > In Maryland > Northwest Hospital Center Randallstown, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 43 | 48 / 10 | $7.868,26 | 13 / 11 | $7.267,21 | 883 / 11 | $6.313,91 | 881 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 32 | 93 / 14 | $15.134,20 | 52 / 19 | $13.955,90 | 1538 / 19 | $13.237,90 | 1525 / 19 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 24 | 29 / 7 | $5.149,46 | 9 / 8 | $4.761,79 | 338 / 8 | $3.856,46 | 335 / 8 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 20 | 104 / 14 | $8.496,40 | 86 / 21 | $7.908,80 | 766 / 21 | $6.794,60 | 765 / 20 |
| Atherosclerosis W/O Mcc | 17 | 41 / 7 | $6.570,12 | 13 / 9 | $6.072,53 | / 9 | $5.065,00 | / |
| Bone Diseases & Arthropathies W/O Mcc | 36 | 9 / 2 | $9.286,28 | 35 / 21 | $8.573,89 | 264 / 21 | $7.601,44 | 264 / 21 |
| Bronchitis & Asthma W Cc/Mcc | 44 | 32 / 3 | $8.705,27 | 31 / 16 | $8.066,30 | 951 / 16 | $7.072,32 | 947 / 19 |
| Bronchitis & Asthma W/O Cc/Mcc | 31 | 14 / 1 | $7.677,65 | 24 / 15 | $7.144,00 | 346 / 15 | $5.811,48 | 346 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 64 | 97 / 14 | $7.739,28 | 31 / 17 | $7.211,39 | 1848 / 18 | $6.049,08 | 1843 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 15 | $11.676,30 | 40 / 18 | $10.833,80 | 1538 / 18 | $8.856,77 | 1535 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 57 | 93 / 14 | $5.262,95 | 21 / 16 | $4.890,04 | 1657 / 15 | $3.934,96 | 1651 / 17 |
| Cellulitis W Mcc | 16 | 42 / 7 | $14.725,80 | 39 / 14 | $13.758,60 | 806 / 14 | $11.097,30 | 804 / 10 |
| Cellulitis W/O Mcc | 117 | 72 / 8 | $8.877,06 | 153 / 26 | $8.210,09 | 2402 / 26 | $7.166,99 | 2394 / 27 |
| Chest Pain | 178 | 13 / 1 | $6.073,49 | 25 / 16 | $5.658,33 | 1396 / 16 | $4.637,89 | 1388 / 16 |
| Chronic Obstructive Pulmonary Disease W Cc | 107 | 72 / 9 | $10.587,30 | 134 / 34 | $9.819,24 | 2303 / 34 | $8.596,37 | 2296 / 32 |
| Chronic Obstructive Pulmonary Disease W Mcc | 70 | 132 / 17 | $13.895,50 | 245 / 38 | $12.876,40 | 2508 / 38 | $11.948,90 | 2500 / 38 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 67 | 53 / 7 | $9.216,00 | 166 / 38 | $8.559,58 | 2036 / 38 | $7.366,46 | 2024 / 36 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 33 | 35 / 2 | $8.727,30 | 22 / 13 | $8.433,24 | 508 / 15 | $6.088,91 | 508 / 7 |
| Degenerative Nervous System Disorders W/O Mcc | 33 | 45 / 11 | $8.046,76 | 9 / 9 | $7.444,82 | 527 / 9 | $6.255,06 | 527 / 8 |
| Depressive Neuroses | 11 | 39 / 14 | $5.263,82 | 4 / 2 | $4.864,45 | 84 / 2 | $4.096,45 | 84 / 3 |
| Diabetes W Cc | 55 | 37 / 5 | $8.544,22 | 39 / 18 | $7.914,89 | 1411 / 18 | $6.966,53 | 1406 / 19 |
| Diabetes W Mcc | 14 | 43 / 7 | $17.567,40 | 51 / 17 | $16.374,60 | 714 / 17 | $14.403,00 | 713 / 17 |
| Diabetes W/O Cc/Mcc | 21 | 17 / 1 | $5.746,81 | 7 / 3 | $5.313,48 | 216 / 3 | $4.338,24 | 216 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 11 | $11.782,10 | 33 / 17 | $10.863,30 | 537 / 16 | $10.379,00 | 537 / 20 |
| Disorders Of Pancreas Except Malignancy W Cc | 24 | 37 / 7 | $8.638,00 | 20 / 17 | $7.973,54 | 819 / 18 | $7.168,21 | 816 / 19 |
| Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 5 | $16.902,80 | 6 / 5 | $15.718,60 | 283 / 5 | $14.286,00 | 283 / 5 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 14 | 24 / 2 | $6.096,00 | 9 / 7 | $5.727,64 | 347 / 7 | $4.266,86 | 346 / 5 |
| Disorders Of The Biliary Tract W Mcc | 16 | 23 / 4 | $13.501,70 | 3 / 2 | $12.568,10 | 116 / 2 | $10.458,80 | 116 / 2 |
| Dysequilibrium | 61 | 10 / 2 | $6.371,82 | 10 / 10 | $5.951,10 | 450 / 11 | $4.644,77 | 450 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 47 | 49 / 2 | $12.710,80 | 47 / 19 | $11.724,80 | 1336 / 19 | $10.948,30 | 1331 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 183 | 93 / 5 | $7.334,18 | 63 / 23 | $6.843,40 | 2329 / 23 | $5.639,44 | 2314 / 23 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 12 | $32.905,10 | 3 / 3 | $30.327,40 | 342 / 3 | $29.556,50 | 342 / 3 |
| Fractures Of Hip & Pelvis W/O Mcc | 30 | 31 / 7 | $8.926,50 | 55 / 23 | $8.243,83 | 894 / 23 | $7.200,63 | 893 / 22 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 23 | 39 / 8 | $8.452,04 | 39 / 22 | $7.805,22 | 747 / 22 | $6.847,65 | 745 / 21 |
| G.I. Hemorrhage W Cc | 101 | 117 / 13 | $10.558,60 | 68 / 29 | $9.786,56 | 2249 / 29 | $8.782,29 | 2245 / 29 |
| G.I. Hemorrhage W Mcc | 39 | 82 / 9 | $22.827,00 | 122 / 32 | $21.081,10 | 1646 / 32 | $20.271,80 | 1636 / 33 |
| G.I. Hemorrhage W/O Cc/Mcc | 32 | 36 / 8 | $8.169,00 | 50 / 29 | $7.585,97 | 937 / 29 | $6.364,06 | 933 / 27 |
| G.I. Obstruction W Cc | 29 | 63 / 13 | $10.283,20 | 65 / 33 | $9.611,90 | 1652 / 33 | $8.205,00 | 1647 / 28 |
| G.I. Obstruction W/O Cc/Mcc | 36 | 35 / 5 | $6.508,83 | 30 / 23 | $6.051,78 | 1197 / 23 | $4.915,86 | 1194 / 24 |
| Headaches W/O Mcc | 19 | 24 / 4 | $6.161,00 | 4 / 4 | $5.695,74 | 170 / 4 | $4.683,53 | 170 / 5 |
| Heart Failure & Shock W Cc | 160 | 118 / 18 | $8.841,26 | 71 / 18 | $8.169,71 | 2317 / 18 | $7.375,17 | 2311 / 17 |
| Heart Failure & Shock W Mcc | 86 | 198 / 20 | $11.757,10 | 44 / 11 | $10.845,20 | 1917 / 11 | $10.112,90 | 1911 / 13 |
| Heart Failure & Shock W/O Cc/Mcc | 72 | 38 / 4 | $6.999,90 | 57 / 27 | $6.481,07 | 1818 / 27 | $5.671,90 | 1805 / 28 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 17 | $20.767,00 | 40 / 24 | $19.149,90 | 1986 / 24 | $18.181,70 | 1965 / 24 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 12 | $16.486,50 | 18 / 16 | $15.208,00 | 866 / 16 | $14.172,60 | 863 / 18 |
| Hypertension W/O Mcc | 32 | 33 / 2 | $6.020,19 | 17 / 11 | $5.607,97 | 599 / 12 | $4.366,31 | 597 / 11 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 18 | $38.561,90 | 18 / 10 | $35.756,00 | 778 / 10 | $32.365,60 | 772 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 85 | 97 / 14 | $11.872,40 | 54 / 28 | $10.973,60 | 1961 / 28 | $9.834,65 | 1957 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 25 | $15.459,60 | 34 / 19 | $14.260,80 | 1330 / 19 | $13.286,00 | 1324 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 47 | 55 / 9 | $9.071,47 | 31 / 25 | $8.376,23 | 1536 / 24 | $7.399,21 | 1532 / 26 |
| Kidney & Urinary Tract Infections W Mcc | 43 | 101 / 12 | $10.166,20 | 51 / 20 | $9.422,02 | 1660 / 20 | $8.422,30 | 1656 / 20 |
| Kidney & Urinary Tract Infections W/O Mcc | 229 | 32 / 2 | $7.595,91 | 80 / 22 | $7.033,09 | 2381 / 24 | $6.076,01 | 2370 / 21 |
| Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 5 | $6.476,09 | 7 / 7 | $5.977,64 | 119 / 7 | $5.376,91 | 119 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 29 | 44 / 8 | $10.935,30 | 36 / 19 | $10.084,30 | 998 / 19 | $9.544,72 | 996 / 19 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 11 | $13.078,60 | 4 / 3 | $12.058,20 | 338 / 3 | $11.549,80 | 337 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 56 | 508 / 31 | $29.444,50 | 203 / 35 | $27.256,00 | 2670 / 35 | $24.868,90 | 2624 / 35 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 20 | $36.047,00 | 122 / 26 | $33.231,10 | 1529 / 26 | $32.009,00 | 1515 / 27 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 12 | $35.946,30 | 7 / 6 | $33.135,90 | 683 / 6 | $32.031,90 | 681 / 6 |
| Medical Back Problems W/O Mcc | 49 | 72 / 11 | $7.699,53 | 19 / 13 | $7.148,06 | 1165 / 13 | $5.860,98 | 1161 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 61 | 65 / 6 | $9.213,56 | 15 / 9 | $8.850,56 | 1237 / 10 | $7.830,51 | 1234 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 97 | 69 / 11 | $7.607,89 | 114 / 23 | $7.025,57 | 2311 / 22 | $6.161,90 | 2303 / 21 |
| Organic Disturbances & Mental Retardation | 24 | 35 / 8 | $12.352,50 | 50 / 23 | $11.397,70 | 522 / 23 | $10.468,30 | 522 / 23 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 14 | $11.222,80 | 36 / 23 | $10.351,10 | 640 / 23 | $9.718,42 | 639 / 24 |
| Other Circulatory System Diagnoses W Mcc | 42 | 74 / 10 | $16.377,10 | 20 / 10 | $15.146,50 | 1042 / 10 | $13.880,70 | 1035 / 11 |
| Other Digestive System Diagnoses W Cc | 46 | 51 / 6 | $8.805,80 | 16 / 14 | $8.152,02 | 1109 / 14 | $6.921,15 | 1105 / 12 |
| Other Digestive System Diagnoses W Mcc | 24 | 38 / 3 | $30.960,20 | 173 / 20 | $28.545,20 | 754 / 20 | $27.320,90 | 753 / 20 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 23 | 20 / 2 | $7.974,78 | 20 / 16 | $7.417,61 | 343 / 16 | $6.439,04 | 343 / 16 |
| Other Disorders Of Nervous System W Cc | 27 | 29 / 4 | $7.958,33 | 8 / 5 | $7.483,48 | 299 / 6 | $5.288,30 | 299 / 3 |
| Other Disorders Of Nervous System W Mcc | 12 | 28 / 4 | $13.761,80 | 3 / 1 | $12.695,30 | 239 / 1 | $11.784,70 | 239 / 1 |
| Other Disorders Of Nervous System W/O Cc/Mcc | 18 | 17 / 2 | $7.866,83 | 4 / 4 | $7.427,22 | 122 / 5 | $5.684,56 | 122 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 31 | 72 / 7 | $9.261,71 | 22 / 14 | $8.542,74 | 713 / 14 | $7.998,74 | 713 / 16 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 53 | 48 / 3 | $15.019,80 | 43 / 14 | $13.865,20 | 949 / 14 | $12.830,20 | 945 / 14 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 9 | $39.520,20 | 22 / 12 | $36.423,80 | 562 / 12 | $35.539,80 | 561 / 13 |
| Other Vascular Procedures W Cc | 17 | 85 / 17 | $23.708,10 | 15 / 13 | $21.876,10 | 968 / 13 | $20.061,50 | 963 / 12 |
| Other Vascular Procedures W Mcc | 11 | 86 / 21 | $24.328,20 | 7 / 6 | $22.421,90 | 586 / 6 | $21.872,10 | 583 / 7 |
| Otitis Media & Uri W/O Mcc | 13 | 31 / 6 | $7.217,77 | 5 / 4 | $6.771,46 | 176 / 4 | $5.239,77 | 176 / 4 |
| Peripheral Vascular Disorders W Cc | 29 | 55 / 7 | $10.366,40 | 45 / 19 | $9.619,41 | 1107 / 18 | $8.182,48 | 1104 / 16 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 17 | 28 / 5 | $7.415,82 | 12 / 7 | $7.013,47 | 350 / 7 | $5.651,88 | 350 / 7 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 9 | $18.529,30 | 83 / 15 | $17.091,10 | 961 / 14 | $15.993,10 | 958 / 15 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 25 | 36 / 4 | $8.271,20 | 44 / 17 | $7.663,76 | 843 / 17 | $6.515,76 | 842 / 16 |
| Psychoses | 261 | 79 / 11 | $8.918,98 | 38 / 13 | $8.256,02 | 440 / 13 | $7.167,08 | 440 / 13 |
| Pulmonary Edema & Respiratory Failure | 52 | 151 / 25 | $23.191,50 | 610 / 34 | $21.436,60 | 2236 / 34 | $20.145,00 | 2230 / 33 |
| Pulmonary Embolism W Mcc | 12 | 31 / 8 | $14.018,90 | 9 / 7 | $13.042,90 | 510 / 7 | $11.579,70 | 509 / 7 |
| Pulmonary Embolism W/O Mcc | 23 | 51 / 17 | $10.300,00 | 34 / 20 | $9.581,96 | 1199 / 20 | $8.340,00 | 1196 / 20 |
| Red Blood Cell Disorders W Mcc | 20 | 51 / 13 | $11.693,50 | 30 / 19 | $10.785,40 | 925 / 19 | $10.123,00 | 921 / 19 |
| Red Blood Cell Disorders W/O Mcc | 75 | 68 / 7 | $8.009,17 | 36 / 17 | $7.405,61 | 1719 / 17 | $6.444,19 | 1710 / 18 |
| Renal Failure W Cc | 98 | 123 / 13 | $9.163,11 | 55 / 16 | $8.502,15 | 2082 / 15 | $7.405,25 | 2072 / 16 |
| Renal Failure W Mcc | 66 | 129 / 7 | $15.553,30 | 84 / 19 | $14.352,60 | 1963 / 19 | $13.305,70 | 1959 / 18 |
| Renal Failure W/O Cc/Mcc | 37 | 19 / 1 | $6.304,16 | 19 / 15 | $5.864,97 | 709 / 15 | $4.598,54 | 707 / 13 |
| Respiratory Infections & Inflammations W Cc | 40 | 48 / 6 | $13.559,40 | 65 / 20 | $12.506,20 | 1381 / 20 | $11.750,20 | 1376 / 17 |
| Respiratory Infections & Inflammations W Mcc | 40 | 96 / 6 | $23.043,30 | 173 / 23 | $21.238,90 | 1792 / 22 | $20.667,70 | 1776 / 23 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 11 | 18 / 6 | $9.617,18 | 7 / 7 | $8.876,91 | 120 / 7 | $7.998,36 | 120 / 6 |
| Respiratory Neoplasms W Cc | 11 | 36 / 13 | $10.676,20 | 10 / 9 | $9.971,36 | 371 / 10 | $8.568,73 | 370 / 8 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 13 | $16.450,80 | 23 / 14 | $15.164,60 | 582 / 14 | $14.657,90 | 579 / 15 |
| Respiratory Signs & Symptoms | 17 | 29 / 4 | $8.374,59 | 10 / 8 | $7.728,94 | 291 / 8 | $7.015,53 | 291 / 10 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 40 | 91 / 9 | $24.542,30 | 55 / 23 | $22.763,60 | 1703 / 23 | $20.574,60 | 1689 / 20 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 10 | $44.197,70 | 11 / 7 | $41.081,40 | 574 / 8 | $34.104,90 | 573 / 3 |
| Seizures W Mcc | 24 | 42 / 8 | $11.074,30 | 8 / 7 | $10.219,70 | 366 / 7 | $9.314,38 | 366 / 7 |
| Seizures W/O Mcc | 55 | 53 / 6 | $6.656,20 | 12 / 9 | $6.198,98 | 874 / 8 | $4.999,15 | 871 / 7 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 7 | $44.907,70 | 6 / 5 | $41.380,50 | 689 / 4 | $40.801,50 | 688 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 203 | 313 / 18 | $16.608,40 | 118 / 13 | $15.334,40 | 2418 / 13 | $14.383,20 | 2375 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 98 | 109 / 14 | $11.943,00 | 146 / 30 | $11.033,60 | 2458 / 30 | $10.037,80 | 2448 / 30 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 21 | 26 / 6 | $7.764,05 | 13 / 11 | $7.169,57 | 328 / 11 | $6.307,10 | 328 / 11 |
| Signs & Symptoms W Mcc | 14 | 27 / 12 | $14.463,60 | 21 / 12 | $13.339,80 | 264 / 12 | $12.545,50 | 264 / 12 |
| Signs & Symptoms W/O Mcc | 72 | 21 / 4 | $7.753,21 | 35 / 19 | $7.175,75 | 1210 / 19 | $6.330,07 | 1207 / 19 |
| Simple Pneumonia & Pleurisy W Cc | 130 | 74 / 13 | $10.508,90 | 140 / 31 | $9.698,87 | 2654 / 31 | $8.798,01 | 2645 / 33 |
| Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 19 | $13.945,70 | 83 / 21 | $12.956,20 | 2199 / 21 | $11.331,60 | 2193 / 17 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 48 | 45 / 7 | $7.011,38 | 45 / 20 | $6.505,04 | 1761 / 20 | $5.436,50 | 1753 / 21 |
| Syncope & Collapse | 151 | 30 / 1 | $7.036,28 | 17 / 15 | $6.520,42 | 1592 / 14 | $5.495,66 | 1585 / 15 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 14 | 28 / 11 | $8.921,36 | 22 / 17 | $8.239,07 | 304 / 17 | $7.205,93 | 303 / 16 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 8 | $70.625,40 | 5 / 4 | $65.815,90 | 113 / 4 | $53.638,10 | 113 / 2 |
| Transient Ischemia | 68 | 57 / 8 | $7.213,06 | 21 / 15 | $6.748,87 | 1431 / 15 | $5.391,59 | 1423 / 15 | Total 112 procedures | 5.281 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.